Hindawi Publishing Corporation International Journal of Family Medicine Volume 2014, Article ID 649253, 10 pages http://dx.doi.org/10.1155/2014/649253 Research Article Clinical Utility of Cognistat in Multiprofessional Team Evaluations of Patients with Cognitive Impairment in Swedish Primary Care Maria M. Johansson,1 Anna S. Kvitting,2 Ewa Wressle,1 and Jan Marcusson1 1 Department of Geriatric Medicine and Department of Clinical and Experimental Medicine, Linkoping¨ University, SE-581 85 Linkoping,¨ Sweden 2 Primary Health Care and Department of Medical and Health Sciences, Linkoping¨ University, SE-581 85 Linkoping,¨ Sweden Correspondence should be addressed to Maria M. Johansson;
[email protected] Received 21 October 2013; Revised 8 January 2014; Accepted 12 February 2014; Published 23 March 2014 Academic Editor: Samuel Y. S. Wong Copyright © 2014 Maria M. Johansson et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. Diagnostic evaluations of dementia are often performed in primary health care (PHC). Cognitive evaluation requires validated instruments. Objective. Toinvestigate the diagnostic accuracy and clinical utility of Cognistat in a primary care population. Methods. Participants were recruited from 4 PHC centres; 52 had cognitive symptoms and 29 were presumed cognitively healthy. Participants were tested using the Mini-Mental State Examination (MMSE), the Clock Drawing Test (CDT), and Cognistat. Clinical diagnoses, based on independent neuropsychological examination and a medical consensus discussion in secondary care, were used as criteria for diagnostic accuracy analyses. Results. The sensitivity, specificity, positive predictive value, and negative predictive value were 0.85, 0.79, 0.85, and 0.79, respectively, for Cognistat; 0.59, 0.91, 0.90, and 0.61 for MMSE; 0.26, 0.88, 0.75, and 0.46 for CDT; 0.70, 0.79, 0.82, and 0.65 for MMSE and CDT combined.